Free BCMTMS Practice Questions by Eric Christianson | Jan 25, 2024 | 0 comments 1. Medication Adherence and Education When teaching a patient about their medications, which of the following strategies is least appropriate? Teach back method Motivational interviewing Utilizing a family member for translation as needed for communication barriers Using open-ended questions None 2. Apixaban KM is a 73-year-old woman who has been on apixaban 5 mg orally twice a day for her previously diagnosed atrial fibrillation. She currently weighs 58 kg and her most recent serum creatinine came in at 1.6 mg/dL. Should KM’s apixaban regimen be modified? If so, what should her new regimen be and why? KM’s regimen should not be changed. She should continue to take apixaban 5 mg orally twice a day. KM’s regimen should be changed. She should take apixaban 2.5 mg orally twice a day due to her age and weight. KM’s regimen should be changed. She should take apixaban 2.5 mg orally twice a day due to her age and serum creatinine. KM’s regimen should be changed. She should take apixaban 2.5 mg orally twice a day due to her weight and serum creatinine. None 3. SMART Asthma Therapy Which inhaler has the best evidence for being used in SMART therapy (single maintenance and reliever therapy) for asthma? Fluticasone furoate, umeclidinium, and vilanterol Budesonide and formoterol Fluticasone and vilanterol Fluticasone and salmeterol None 4. Diabetes and UTIs A patient presents with frequent urinary tract infections. What anti-diabetic agent has the highest risk of this adverse effect and should likely be avoided? Sulfonylureas GLP-1 Agonists Thiazolidinediones SGLT-2 Inhibitors None 5. HEDIS Which of these is not true about Health Effectiveness Data and Information Set (HEDIS)? HEDIS is a government measurement tool used by most insurance companies to gauge how insured patients are being cared for The main goal of HEDIS is to promote curative care HEDIS data can help identify gaps in patient care and establish realistic targets for improvement HEDIS measures relate to many public health issues such as cancer, heart disease, behavioral health, and diabetes None 6. PrEP A patient comes to you asking about “PrEP” medications for HIV. What agents are preferentially used for this therapy? Zidovudine and lopinavir/ritonavir Raltegravir Tenofovir DF and emtricitabine Enfuvirtide and maraviroc None 7. Schizophrenia and Parkinson's A 67-year-old male has a history of schizophrenia. He was recently diagnosed with Parkinson’s disorder. His current regimen for schizophrenia includes risperidone 2 mg BID. Which antipsychotic would have the least potential to exacerbate his Parkinson’s disorder? Clozapine Risperidone Lurasidone Olanzapine None 8. OTC Supplement Selection N/V Pregnancy What over-the-counter supplement can be used in the aid of pregnancy-associated morning sickness? Vitamin B1 Vitamin B3 Vitamin B6 Vitamin B12 None 9. ED and BPH Medications Which medication would be most appropriate to treat both erectile dysfunction concurrently with BPH? Tadalafil Avanafil Sildenafil Tamsulosin None 10. Carbamazepine and Genetic Testing Pharmacogenomic human leukocyte antigen test (HLA-B*1502) is recommended to be completed before initiating carbamazepine in what population? Scandinavian African Jewish Asian None 11. Motivational Interviewing Motivational Interviewing is a communication skill set aimed to elicit and strengthen motivation for change. Which of the following is not one of the four guiding principles behind motivational interviewing? Approach Accountability Develop Discrepancy Express Empathy Roll with Resistance None 12. CYP2D6 The enzyme CYP2D6 is responsible for the metabolism of the prodrug codeine into the active analgesic morphine. If a patient on fluoxetine were to be tested for pain relief with codeine, how would you expect this patient to differ from the rest of the population with respect to the drug’s efficacy for pain relief? Codeine would be equally efficacious in individuals on fluoxetine Codeine would be more efficacious in individuals on fluoxetine Codeine would be less efficacious in individuals on fluoxetine None of the above None 13. Medicare Fraud Which of the following is an example of Medicare fraud? Billing for non-existent CMRs Conducting excessive office visits or writing excessive prescriptions Unknowingly billing for brand name drugs when generics are dispensed Prescribing more medications than necessary for treating a specific condition None 14. HCTZ Interaction Which of the following drug levels would possibly rise because of the use of hydrochlorothiazide? Phenytoin Amiodarone Lithium Warfarin None 15. Hyperthyroidism One of your patients has inadvertently taken an excessive dose of levothyroxine for over two weeks. Which of the following symptoms would be least likely to occur? Constipation Anxiety Weight Loss Heat Intolerance None Time's up Submit a Comment Cancel replyYour email address will not be published. Required fields are marked *Comment * Name * Email * Website Δ This site uses Akismet to reduce spam. Learn how your comment data is processed.
